HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

I Have Achy Swollen Joints In Hands And Toes Hands

default
Posted on Mon, 16 Sep 2019
Question: I have achy swollen joints in hands and toes Hands are very distorted and enlarged I have pain all the time I am very sensitive to cold and am fatigued much of the time. RA, b12 deficiency and thyroid have been eliminated . What do I ask about next?
doctor
Answered by Dr. Dr. Ivan Romich (1 hour later)
Brief Answer:
probably autoimmune issue

Detailed Answer:
HI and welcome.
YOur symptoms are suggestive of generalized arthritis which is most commonly seen in autoimmune disorders: rehumatoid arhritis, osteoarhritis or poliarthritis nodosum.You may also have fibromyalgia or systemic lupus.

I dont think this is related to thyroid or vitamin defficiency so you should focus on autoimmune disorders. Beside RA factor, you should check ANA (antinuclear antibody), cyclic citrullinated peptide (CCP) antibody, HLA-B27, uric levels and viral markers.
ALso, xrays of hands would be useful.

If all these are fine, then you should start with exercises, hav eantiinflammatory medications such as metotrexat or decortin,but it should be discussed with immunologist.

WIsh you good health. Regards. Feel free to ask further questions.
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Dr. Ivan Romich

General Surgeon

Practicing since :2008

Answered : 13888 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask an Allergist and Immunologist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
I Have Achy Swollen Joints In Hands And Toes Hands

Brief Answer: probably autoimmune issue Detailed Answer: HI and welcome. YOur symptoms are suggestive of generalized arthritis which is most commonly seen in autoimmune disorders: rehumatoid arhritis, osteoarhritis or poliarthritis nodosum.You may also have fibromyalgia or systemic lupus. I dont think this is related to thyroid or vitamin defficiency so you should focus on autoimmune disorders. Beside RA factor, you should check ANA (antinuclear antibody), cyclic citrullinated peptide (CCP) antibody, HLA-B27, uric levels and viral markers. ALso, xrays of hands would be useful. If all these are fine, then you should start with exercises, hav eantiinflammatory medications such as metotrexat or decortin,but it should be discussed with immunologist. WIsh you good health. Regards. Feel free to ask further questions.